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Microvascular cricoid cartilage reconstruction with the thoracodorsal artery scapular tip autogenous transplant.

机译:胸背动脉肩尖自体移植重建微血管环软骨。

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摘要

Conservation laryngeal surgery has been limited by difficulties with partial resection of the cricoid. Numerous options have been suggested that include temporoparietal flaps, free cartilage grafts, radial forearm free tissue transfers, and tracheal autotransplantation with vascular carriers. The authors present a one-stage procedure for the reconstruction of the cricoid cartilage based on the thoracodorsal artery scapular tip (Tdast) autogenous transplant that uses the curved tip of the scapula and does not create a secondary tracheal defect. Because the Tdast is a vascularized graft it may withstand radiation treatment.
机译:保守喉镜手术因环结节切除术的困难而受到限制。已经提出了许多选择,包括颞顶皮瓣,游离软骨移植物,无radial骨的前臂组织转移以及采用血管载体的气管自体移植。作者提出了一种基于胸背动脉肩cap骨尖(Tdast)自体移植的环状软骨重建的单阶段程序,该移植使用肩cap骨的弯曲尖端,并且不会产生继发性气管缺损。由于Tdast是带血管的移植物,因此可以承受放射治疗。

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